As abortion access becomes more limited in the U.S., primary care providers can and should provide these services to people who need them
The Supreme Court has overturned constitutional protections for abortion and several states have now immediately outlawed essential care that is used by roughly one in four Americans who can become pregnant. As many people in the health professions have said, these prohibitions will undermine bodily autonomy, criminalize a wide range of pregnancy outcomes and limit the personal and professional lives of millions of Americans.
Access is a key issue here. The right to abortion has been eroded for decades by restrictive state laws, federal funding bans, conservative courts, and structural inequities rooted in racism, misogyny and xenophobia. Low-income, rural, Black, Indigenous and immigrant communities are and will be even more disproportionately harmed by forced birth and the criminalization of miscarriage and self-managed abortion. Overzealous prosecutors are already charging people who abort with crimes.
Expanding the primary care abortion workforce is not without challenges. Abortion providers tend to be clustered around academic medical centers that are often located in urban areas and states with fewer abortion restrictions. The abortion care workforce, like the general medical workforce, has a severe lack of racial/ethnic diversity.
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